There are three main tissues we need to deal with while considering a surgery for male breasts:
Skin & Nipple-areola complex
Fat or Adipose tissue
In our experience, the skin in small and moderate sized male breasts and often in large male breasts shrinks back almost completely. In such cases skin does not sag once the healing is complete. Besides, some degree of skin shrinkage continues even up to a year after surgery. We will be able to tell you after examination how much likely skin shrinkage you should expect post-surgery. We feel removing excess skin at the time of primary male breasts surgery is ill advised. In our practice we let the skin shrink to full extent naturally and deal with residual skin after six months or a year. It is our experience that only in very rare instances residual skin removal surgery is required. Whenever needed, additional surgery can be done to remove excess skin and lift the sagging breast tissue. In some boys, the areola (dark circle around the nipple) is very large and looks abnormal. Such an areola can be reduced to bring it to normal size.
Fat is removed by liposuction. We usually give two minute cuts on the side of chest and perform a thorough liposuction. These cuts are very small and no stitches are needed to close them. Following videos will demonstrate to you how we perform liposuction on male breasts. When liposuction is complete only mammary glands remain.
Following videos will show our approach towards removal of mammary glands. The incision is always confined to within the boundary of the areola, whatever be the size of the breasts. This approach gives the best cosmetic results.
Immediately after surgery, our patients are fully alert and are able to walk out of the operation theatre back to their room where they are given light refreshments. After resting for a while all our patients go home. The analgesic effect of tumescent local anaesthesia remains for several hours even after the surgery is over.
Incidence of Gyno / Gynecomastia is very high. Almost 25-30% of boys suffer from this condition. It can be a very psychologically disturbing condition as boys are supposed to have flat, muscular chest. Breasts are not at all appropriate on boys’ chest.